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  • 559655
CCN: 559655 NPI: 1487203832 Organization

BRIGHTLANE HEALTHCARE, INC.

5050 PALO VERDE ST STE 212
MONTCLAIR, CA 917632334

Contact Information

  • Phone 9095298247
  • Fax 8004013294
  • Enumeration Date 2019-09-09
  • Last Updated 2022-12-29

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 40140
providerType 36
censusDivision 9
cbsaActualGeographicLocation 40140
providerType 36
censusDivision 9
cbsaActualGeographicLocation 40140
providerType 36
censusDivision 9
cbsaActualGeographicLocation 40140
providerType 36
censusDivision 9
cbsaActualGeographicLocation 40140
providerType 36
censusDivision 9
cbsaActualGeographicLocation 40140
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 40140
providerType 36
carrierCode 01112
localityCode 62
cbsaActualGeographicLocation 40140
providerType 36
specialPaymentIndicator
carrierCode 01112
localityCode 62
cbsaActualGeographicLocation 40140
providerType 36
specialPaymentIndicator
carrierCode 01112
localityCode 62
cbsaActualGeographicLocation 40140
providerType 36
specialPaymentIndicator
carrierCode 01112
localityCode 62

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